| Compliance List |
5 CSR 25-500.032 Organization and Administration
Compliance
|
5 CSR 25-500.042 Licensing Process
Compliance
|
5 CSR 25-500.052 Annual Requirements
Compliance
|
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers
Violation
| | Provider Comments |
Violation
The premises were not safe and suitable as evidenced by the backdoor knob was loose and would not easily open.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (A) states: The premises shall be safe and suitable for the care of children.
Correction Required
The premises shall be safe and suitable for the care of children.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The requirements for protective outlet covers or twist-lock outlets were not met as evidenced by electrical outlets were not covered in that 4 outlets were missing covers.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (1) (G) states: Protective outlet covers or twist-lock outlets shall be used in areas accessible to the children.
Correction Required
The facility shall use outlet covers or twist-lock outlets as required.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
The walls located in the area leading into the bathroom was/were not clean as evidenced by the vents had dust in them.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 6. states: Walls, ceilings and floors shall be finished with material which can be cleaned easily and shall be free of splinters, cracks and chipping paint. Floor covering shall be in good condition. Lead-free paint shall be used for all painted surfaces.
Correction Required
Walls, ceilings, and floors shall be made of approved materials, easily cleaned and in good condition.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
There was evidence of roaches in the kitchen area. The ones seen were dead.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by the front corner of the playground had leaves and trash.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
Bathroom supplies were not available and accessible to children as evidenced by there were no paper towels.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 4. states: Paper towels, soap and toilet paper shall be provided and easily accessible so the children can reach them without assistance.
Correction Required
The facility shall provide paper towels, soap and toilet paper, accessible for children's use.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
The bathroom was not clean and odor free as evidenced by the toilet was soiled.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (3) (A) 7. states: Bathrooms shall be clean and odor free.
Correction Required
Bathrooms shall be clean and odor free.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
There was evidence of insects in at the backdoor and in the bathroom. The ones seen were dead.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
There was evidence of dirt/debris in the floor of the 2nd small room, on the rug.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (2) (A) 9. states: The facility shall be clean at all times and free of dirt, insects, spiders, rodents or other pests.
Correction Required
The facility shall be clean and pest free.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
The facility's outdoor space was not safe for children's activities as evidenced by there was a sandbox that was turned over with leaves and water in it.
Licensing Rule Reference
5 CSR 25-500.082 Physical Requirements of Group Day Care Homes and Day Care Centers (6) (A) 4. states: The play area shall be safe for children's activities, well-maintained, free of hazards such as poisonous plants, broken glass, rocks or other debris and shall have good drainage.
Correction Required
The outdoor play area shall be clean, safe and well-maintained as required.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
|
5 CSR 25-500.087 Fire Safety
Compliance
|
5 CSR 25-500.090 Disaster and Emergency Preparedness
Violation
| | Provider Comments |
Violation
Requirements of facilities participation in disaster and emergency drills were not met as evidenced by the disaster or emergency drill was not held at least one time every three months.
Licensing Rule Reference
5 CSR 25-500.090 Disaster and Emergency Preparedness (3) (A) states: The licensee shall ensure that the facility has on file documentation that, at least every three (3) months, all staff and children at the facility have participated in a disaster or emergency drill based on the facility's disaster and emergency plan.
Correction Required
Fire, tornado, and other disaster drills shall be completed and recorded as required.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-500.092 Furniture, Equipment and Materials
Violation
| | Provider Comments |
Violation
Outdoor equipment, the playhouse, in the back of the playground was not in good condition as evidenced by it wasn't put together and leaning against the fence.
Licensing Rule Reference
5 CSR 25-500.092 Furniture, Equipment and Materials (3) (A) states: All outdoor equipment shall be constructed safely, in good condition and free of sharp, loose or pointed parts. Only lead-free paint shall be used.
Correction Required
Outdoor play equipment shall be safe and in good repair.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-500.102 Personnel
Violation
| | Provider Comments |
Violation
Background screening information was not available for review for India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (Q) states: Background screening information received by the provider shall be retained in the individual’s file in a confidential manner and available for review.
Correction Required
Background screening information shall be available and kept confidential.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate first aid was not on site.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
A facility orientation was not conducted for a caregiver(s) before being left alone with children. The following staff need a facility orientation: India Gribble
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) . states: The child care provider shall ensure that within seven (7) days of employment or volunteering and before being left alone with children that caregivers receive a facility orientation. The facility orientation shall include:
Correction Required
The facility shall ensure that a facility orientation occurs within 7 days of employment or volunteering and before caregivers are left alone with children.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the licensing rules for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. A. states: Licensing rules;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the licensing rules.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the facility’s license and its limitations for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. B. states: The facility’s license and its limitations, if any;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the license and its limitations.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the child care practices for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the daily schedule for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. D. states: The daily schedule;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the daily schedule.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of assigned duties and responsibilities for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. E. states: The assigned duties and responsibilities of staff;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the assigned duties and responsibilities.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the names, ages, special health needs, nutritional needs, or developmental needs of the children for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. F. states: The names and ages of the children for whom the staff member will be responsible, including any special health, nutritional or developmental needs;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the child information and needs.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the location of children’s records for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. G. states: The location of children’s records;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the location of children's records.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the safe sleep policy for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. H. states: The facility’s safe sleep policy, if applicable;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the safe sleep policy.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the disaster plan or location of emergency information for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. I. states: The facility’s disaster emergency plan and the location of emergency information;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the emergency plan and location of emergency records.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of their responsibility as a mandated reporter for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. J. states: The mandated responsibility to report any suspected child abuse or neglect to the Children’s Division at the toll-free number 1-800-392-3738 or online at https://apps.dss.mo.gov/OnlineCanReporting/default.aspx.
Correction Required
Each caregiver shall have a facility orientation that shall include a review of their responsibility as a mandated reporter.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The requirements for first aid/CPR were not met as evidenced by at least one caregiver certified in age-appropriate CPR was not on site.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (T) states: The licensee shall have documentation on file at the facility of current certification in age-appropriate first aid and cardiopulmonary resuscitation (CPR) training for a sufficient number of child care staff to ensure that there is one (1) caregiver at the facility for every twenty (20) children in the licensed capacity. At least one (1) caregiver with current certification in age-appropriate first aid and CPR must be on site at all times when children are present. The training shall be certified by a nationally-recognized organization, such as the American Red Cross, American Heart Association, or an equivalent certification, include an in-person skills assessment, and be approved by the department.
Correction Required
Required age-appropriate certification in first aid/CPR shall be on file, with at least one caregiver with certification on site.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
The facility orientation did not include a review of the procedures for child illness for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
The facility orientation did not include a review of the procedures for discipline and guidance for the following staff: India Gribble.
Licensing Rule Reference
5 CSR 25-500.102 Personnel (1) (K) 2. C. states: The facility’s written child care practices, including procedures for medication administration, child illness, discipline, and guidance policies;
Correction Required
Each caregiver shall have a facility orientation that shall include a review of the facility policies and procedures.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-500.112 Staff/Child Ratios
Violation
| | Provider Comments |
Violation
Staff/child ratio requirements were not met as evidenced by 5 children, ages 16 months, 3 years and 4 years, were cared for by 1 caregiver(s).
Licensing Rule Reference
5 CSR 25-500.112 Staff/Child Ratios (1) (A) states: Birth Through Two (2) Years. Groups composed of mixed ages through two (2)- years shall have no less than one (1) adult to four (4) children, with no more than eight (8) children in a group;
Correction Required
Correct staff/child ratios and group size shall be maintained.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
|
5 CSR 25-500.122 Medical Examination Reports
Violation
| | Provider Comments |
Violation
Medical examination report(s) was/were not on file for India Gribble as evidenced by a medical examination was not on file within 30 days of an individual beginning to work with children.
Licensing Rule Reference
5 CSR 25-500.122 Medical Examination Reports (1) (A) states: All persons working in a child care facility in any capacity during child care hours, including volunteers counted in staff/child ratios, shall be in good physical and emotional health with no physical or mental conditions which would interfere with child care responsibilities. These persons shall have a medical examination report, signed by a licensed physician or registered nurse who is under the supervision of a licensed physician, on file at the facility at the time of initial licensure or within thirty (30) days following employment.
Correction Required
Medical reports shall be on file as required.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-500.132 Admission Policies and Procedures
Compliance
|
5 CSR 25-500.142 Nighttime Care
Compliance
|
5 CSR 25-500.162 Overlap Care of Children
Compliance
|
5 CSR 25-500.172 Emergency School Closings
Not Observed
|
5 CSR 25-500.182 Child Care Program
Compliance
|
5 CSR 25-500.192 Health Care
Violation
| | Provider Comments |
Violation
Requirements for immunization reports on file were not met as evidenced by 1 immunization record(s) was/were not on file.
Licensing Rule Reference
5 CSR 25-500.192 Health Care (4) (A) states: No child shall be permitted to enroll in or attend any day care facility caring for ten (10) or more children unless the child has been immunized adequately against vaccine preventable childhood illnesses specified by the department in accordance with recommendations of the Immunization Practices Advisory Committee (ACIP). The parent or guardian of the child shall provide satisfactory evidence of the required immunizations. Satisfactory evidence means a statement, certificate or record from a physician or other recognized health facility or personnel, stating that the required immunizations have been given to the child and verifying the type of vaccine and the month, day and year of administration.
Correction Required
Child immunization requirements shall be on file as required.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-500.202 Nutrition and Food Service
Compliance
|
5 CSR 25-500.212 Transportation and Field Trips
Compliance
|
5 CSR 25-500.222 Records and Reports
Violation
| | Provider Comments |
Violation
1 child(ren) records did not include date care begins and ends.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (2) (A) states: The child's full name, address, birth-date and the date care begins and ends;
Correction Required
Child enrollment information shall be completed and on file as required.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
Violation
Daily attendance records were not maintained on file as evidenced by there were no staff/volunteer attendance records.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (6) states: Daily staff and volunteer attendance records shall be maintained and kept on file a minimum of one (1) year.
Correction Required
Staff/volunteer attendance records shall be maintained and retained as required.
Correction Verification
Return Inspection
Compliance Date
|
|
Violation
Records were not available for inspection by the department upon request as evidenced by India, the caregiver that was present when I arrived for my inspection, was not sure where the files were located.
Licensing Rule Reference
5 CSR 25-500.222 Records and Reports (10) states: All records shall be available in the facility for inspection by the department upon request.
Correction Required
Records shall be available at the facility for inspection.
Correction Verification
Corrected on Site
Compliance Date
4/3/2023
|
|
|
5 CSR 25-600.020 General Requirements
Violation
| | Provider Comments |
Violation
Criminal background check results were not on file for India Gribble.
Licensing Rule Reference
5 CSR 25-600.020 General Requirements (1) states: Prior to the employment or presence of a child care staff member in a licensed, regulated, or registered child care facility not exempted by section 210.1080.13, RSMo, the child care provider shall request the results of a criminal background check for such child care staff member from the department.
Correction Required
Required results of criminal background checks shall be on file.
Correction Verification
Return Inspection
Compliance Date
|
|
|
5 CSR 25-600.040 Background Screening Findings
Compliance
|
RSMo 210.115. Reports of abuse, neglect, and under age eighteen deaths — persons required to report — supervisors and administrators not to impede reporting — deaths required to be reported to the division or child fatality review panel, when — report made to another state, when. —
Compliance
|
RSMo 210.211. License required - exceptions - written notice of licensure status, when.
Compliance
|